Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Mitchell Waggoner, PAC

Individual provider Physician Assistant · NPI 1477634582

Amanda Mitchell Waggoner, PAC is a Physician Assistant in Williamsburg, Virginia. Graduated from Eastern Virginia Medical School in 2006, 20 years ago. Practices with Pariser Dermatology Specialists Ltd, a 34-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
20
Trained at
Eastern Virginia Medical School
Licensed in
VA
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

207 Bulifants Blvd Ste C
Williamsburg, VA 23188-5732
Phone: (757) 622-6315
Fax: (757) 622-7022
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11842 Rock Landing Dr Ste 120, Newport News, VA 23606-4437 — (757) 595-8816

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110002368 (VA)

Record details

NPI number1477634582
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024
Mailing address6160 Kempsville Cir, Suite 200 A, Norfolk, VA 23502-3933

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2006 (20 years in practice)
Group practice Pariser Dermatology Specialists Ltd — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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